Early Implementation of Dual Eligible Demonstrations Bearing Fruit
The CMS Financial Alignment Demonstration authorizes states to undertake initiatives that integrate Medicare and Medicaid financed acute, primary, behavioral health and LTSS for individuals dually eligible for the Medicare and Medicaid programs. This session will provide a status report on state implementation of the demonstration, including successes, challenges and lessons learned from early experience. It will also examine Washington’s managed fee-for-service model and Virginia’s capitation model.
Moderator
Susan Yontz, Director, Integrated Care Division, Medical Services Administration, Michigan Department of Community Health
Speakers
Tammy Whitlock, Division Director, Office of Coordinated Care, Virginia Department of Medical Assistance Services
MaryAnne Lindeblad, Medicaid Director, Washington Health Care Authority
Edith Walsh, Deputy Director, Aging, Disability and Long-Term Care, RTI International

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































